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SHELL OIL COMPANY MWCHAIN OF CUSTODY RECORD Date s, 75 <br /> RETAIL ENVIRONMENTAL ENGINEERING - WEST Serial No Page 7--o1 <br /> Site Address <br /> -L-77 L, , , 1,t, Sfc Analysis Required LAB <br /> WIC# <br /> } l+ CHECK ONF(1)BOX ONLY CT1DT TURN AROUND TIME <br /> G W Monitoring ❑ 4491 <br /> Shell Engineer Phone No t ," 24 bows C1z J5-7,//,j ` Shelnvesll2alion ,Rr-4441 <br /> � Fax# /; /ti (;I 7Z \ti SO4Clam elly/Dlsposai ❑ 4442 4Bhaxs <br /> Consultant Name r Address �,)r;, WL> ' j O c N Water 15 days /�1��} <br /> 'F (Normal) <br /> J / c aD Y Ciassil/Dls sal ❑ 4443 ❑ <br /> L r U�'-�L[ �y.�f G ! L' [I�L'��1CL= �f 1 (1 _1L�._. X J y Other <br /> 'Zo su tant Co act« Ph C o 11(1/ O V SoWAlr Rem or Sys <br /> � �gG1tC�r' l��la,i���r rw r✓�l(C (n A m � Oars ❑ 4452 <br /> _ Fax # ' YJG 7�-x i� T ad � <br /> NOTE Not!!y Lab as <br /> 4 0 ❑ � rWater Rem or Sys anon as possible of <br /> Comments Ai rV.�� s1I��� O w OEM El 4453 24149 Iva TAT <br /> Ped �-Y t i.,/1( O rn s @ aver E)Sam ! b��, <br /> co � a ro 1 rn UST AGENCY. <br /> Printed N rn d L w_ w_ m `o C s y MATERIALSAMPLE <br /> i No of x tj <br /> E13- DESCRIPTION CONDITION/ <br /> Sample ID Dale Sludge Sod Water Air cauls pD 7 �c' q m <br /> U a COMMENTS <br /> lieiln ulslled By(slgnalure) Printed Namie_�, ?ae Ci ecsl d natur I /� Pd to Name Date tr 0 <br /> Q-Y d[tz — Timeetln Ish y(RIO ature) Prlt Name 1 elved(sig ure) Printed Name Dale <br /> L+t G YYdC l Time_ _ Time <br /> F1 nquished B slgnatuie) Printed Name Dale Recely d(signature) ] PrintsName Date <br /> Time / �eu Time <br /> D O FAUST PROVIDE A COPY OFTRIS CHAIN CUSTODYWITH INVOICE AN <br /> _ THE LABORATORY RY — <br /> REV 4/1/93 SHELL OIL COMPANY CHAIN OF CUSTODY <br />